- Novo Nordisk Inc. (Montclair, CA)
- …in order to influence formulary status, as applicable May analyze impact of managed care in the territory and its effect on prescribing decisions, ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I… more
- Novo Nordisk Inc. (Tacoma, WA)
- …elements in the market to identify and leverage business opportunities Analyze impact of managed care in the territory and its effect on prescribing decisions, ... health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also...align to audience needs Leverage understanding of impact of managed care in the territory and how… more
- Merck & Co. (Fort Worth, TX)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-throughShares learning and best-practices from one customer… more
- Merck & Co. (Minneapolis, MN)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-throughShares learning and best-practices from one customer… more
- Elevance Health (Atlanta, GA)
- …and education preferred. + Certification as a Case Manager is preferred. + Prior managed care experience preferred. + Knowledge of medical management ... for payment as part of consideration for employment. **Nurse Care Manager ll (2:30pm - 11pm Eastern...to interpret and apply member contracts, member benefits, and managed care products strongly preferred. Please be… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY* HFHP Managed Care Pharmacist. Responsibilities include but are not limited to oversight of the daily pharmacy program operations and the ... contracted Pharmacy Benefits Manager (PBM). Ensure achievement of organizational and departmental goals...Provide training and education to colleagues and staff regarding Managed Care Pharmacy. 10. Participate in community… more
- 3M (Maplewood, MN)
- Job Description: Project Manager - Managed Lab Outsource (Hybrid; Maplewood, MN) Collaborate with Innovative 3Mers Around the World Choosing where to start and ... Impact You'll Make in this Role As a Project Manager - Managed Lab Outsource in the...in a science and/or engineering discipline (completed and verified prior to start) + Three (3) years of experience… more
- Elevance Health (St. Louis, MO)
- …policy and industry standards. + Ensures the accurate interpretation of benefits and managed care guidelines along with guiding patients to appropriate programs ... you a check, or ask you for payment as part of consideration for employment. ** Manager Pharmacy Prior Authorizations** + Job Family: CUS > Service Operations +… more
- Whitney Young Health Center (Albany, NY)
- …to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary range: ... Registered Nurse (RN) Care Manager (Req 100787) Albany, NY...to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. All qualified applicants… more
- AdventHealth (Shawnee, KS)
- …hospital in Shawnee Mission, Kansas. **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, ... of the care team). The Social Work Care Manager , in collaboration with the patient/family,...utilization management, care management, performance improvement and managed care reimbursement + Knowledge of state… more
- LA Care Health Plan (Los Angeles, CA)
- …experience with health care grievance and/or appeals issues, preferably in a managed care or Medicaid health Plan environment and/or public services or ... Experience building relationships with organizations and business partners. Preferred: Managed care experience Skills Required: Excellent analytical, problem… more
- InnovaCare (San Juan, PR)
- …doing! We're committed to bringing passion and customer focus to the business. The Care Manager is responsible to assess all referred cases, plan, implement, ... order to prevent adverse event on members. 14. Performs prior authorizations process as required to meet member's needs.15....acute care or ambulatory settings, home health care , or managed care setting.… more
- LifeSteps (Los Angeles, CA)
- Lead Care Manager Job Details Job Location...Compile records and prepare reports. + Submit claims to Managed Care Plans (MCP's) for all member ... difference in peoples lives! We're looking for a Lead Care Manager for theLos Angeles County area!...clinics, shelters, local businesses, and community centers for various Managed Care Plan (MCP) members. Job Specifics:… more
- AdventHealth (Hinsdale, IL)
- …Oak Street, Hinsdale, IL 60521 **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require ... of the care team). The Social Work Care Manager , in collaboration with the patient/family,...utilization management, care management, performance improvement and managed care reimbursement . Knowledge of state… more
- LA Care Health Plan (Los Angeles, CA)
- …Independent judgment and action skills to facilitate change as needed. Knowledge of managed care industry standard performance assessment methods. Able to work ... documented medical conditions and sincerely held religious beliefs. LA Care will review all exemption requests prior ... Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed… more
- UCLA Health (Santa Monica, CA)
- Description The Homeless Healthcare Collaborative care manager functions as a part of the street medicine mobile clinic program. The care manager will ... accessing resources that address social determinants of health. The care manager will outreach and collaborate with...of clients and report progress regularly to contracted Medi-Cal Managed Care Plans (MCPs) and complete documentation… more
- Penn Medicine (Philadelphia, PA)
- …revenue cycle management/oversight. -Ensure practice alignment with all standards. * Managed Care /Payer Management - Support implementation of managed ... has an outstanding leadership opportunity for an Associate Practice Manager to join the Wound Care team...Diploma/GED (Required) + 3+ years Relevant experience required + Prior management experience in a healthcare setting preferred +… more
- Amergis (Chicago, IL)
- …provider network. + Two years of experience managing or supervising staff for a Managed Care Organization + Prior experience supporting grant management + ... Local Pay : $50/ hr Position - Manager of Complex Care Coordination Location:...and management. + Three years of experience with Medicaid Managed Care role with direct product and/or… more
- Clay Lacy Aviation (Van Nuys, CA)
- …extent necessary, the Manager also works with the company-designated Aircraft Manager , regarding the Managed Aircraft accounts receivable status of all ... prior to the due date. The Accounts Receivable Manager will regularly communicate with each department's Line of...flow. Therefore, it is critical that the Accounts Receivable Manager 1) continually monitor managed accounts receivable… more
- Actalent (Milwaukee, WI)
- … prior authorization Top Skills Details: case management,medicare,medicaid, managed care ,badgercare,healthcare industry,healthcare management system Additional ... Description: RN Care Manager is responsible for clinical...educate members and families Skills: case management, medicare, medicaid, managed care , badgercare, healthcare industry, healthcare management… more
